HomeMy WebLinkAboutSDP201700018 Checklist - Project Closeout (Administrative) Minor Amendment 2017-04-03 Albemar401 Mdle 'ounty Community Development Departrr
ntire Road Charlottesville.VA 22902-4!
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Voice:(434t 296-5832 Fax (434)972-4
Planning Application
PARCEL /OWNER INFORMATION
TMP 02900-00-00-015D0 Owner(s): FREE UNION COUNTRY SCHOOL INC
Application # SDP201700018
PROPERTY INFORMATION
Legal Description ACREAGE
Magisterial Dist. White Hall ;;..Z.1 Land Use Primary Semi-public
Current AFD Not in A/F District Current Zoning Primary, Rural Areas
FAPPLICATION INFORMATION
Street Address 4222 FREE UNION RD CHARLOTTESVILLE, 22901 Entered
;-
- ;
JudyMain1
Application Type Site Development Plans
v 14/3/2017
Project Free Union Country School,Inc.- Minor Amendment
Received Date 04/03/17 Received Date Final Submittal Date 04/03/17 Total Fees 5
Closing File Date Submittal Date Final Total Paid 5
Revision Number
Comments
Legal Ad
SUB APPLICATION(s)
Type SO ApOication eminent
Minor Amendment 104/03/17
APPLICANT CONTACT INFORMATION
ContartType Name Arkkess I CiOtate Zip I Phone I PhoneCt
ovine r/Appticaft FREE UNION COUNTRY SCHOOL INC IP 0 BOX 250 FREE UNION VA 22940-0Z5
; .. 2 2
Applicant MARTHA MACLAY 4220 FREE UNION ROAD #250 FREE UNION, VA. 22940 4349781700
Signature of Contractor or Authorized Agent Date
s`"' Application for _��r;;,;
.
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Major or Minor Site Plan Amendments
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Existing Site Plan Name&Number: Jr 2O O t3 40003
Tax map and parcel(s): O 2crop —Qom—0 t0 15>O Zoning:
Contact (who shouldlwe contact about this project): tle"y It. MAC)al
'7
Street Address 112.0 1 t'a u Yl t ti- if"gn
City 'ree tA.,";t3nw i State Y A Zip Code 2.2.clitt0
Phone Number 4.34 978 !goo
Email rf a r41 a.free iL.n of t7� 31Y113; I •C o trl
Owner of Record �iree LLr1i Couertdy cJ oo(. �,~c..
.L r� i
Street Address 42.2.0 U.n
'free toVet ci •. /�►5O
City et U-h; — State 81,1 Zip Code 7.2.14 o
Phone Number k4 9'9---- (1 Co
Email F'Pb.,Y et: t vt 1 0'N- D G[t'Y1o4M I -cozin''1s
Applicant rY%o.vth& rYlAciay
Street Address 4.2.14.6 -Orec titlf121 • 2--0
•
City liree Lint 1611. State VA Zip Code 2.3.940
Phone Number 454 q78 £100 ^� /
Email rrioir.#ha .fee I,(,h t 411— 0✓ Q rod; t • COrYr,
(J FEES,/
❑ Major Amendment L Minor Amendment(alterations to parking,circulation,building
=$1613 size,location)=$538
16 folded copies of plan are required 8 folded copies of plan are required
Notices required by Section 32.4.2.1 (f)
Preparing and mailing or delivering up to fifty(50)notices=$215.00 plus the actual cost of first class postage.
Preparing and mailing or delivering,per notice more than fifty(50)=$1.08 plus the actual cost of first class postage.
GROUNDWATER ASSESSMENT
(Required for all non-residential site plans not serviced by public water)
Was a Groundwater Assent conducted for the existing site plan?
rYES
❑ NO
If NO and the new plans show a use using less than 2,000 gallons/day(average) ❑ Tier 3 Groundwater Review=$548
If NO and the new plans show a use using greater than 2,000 gallons/day(average) U Tier 4 Groundwater Review=$1,183
If YES and the use goes from using less than to more than 2,000 gallons/day(average)
U Tier 4 minus Tier 3=$635
If YES and the use does not change from using less than to more than 2,000 gallons/day(average)
❑ No fee
County of Albemarle
Department of Community Development
401 McIntire Road Charlottesville,VA 22902 Voice: (434)296-5832 Fax:(434)972-4126
REVISED 11/02/2015 Page 1 oft
Comments/Attachments:
Owner/Applicant Must Read and Sign
U Major Amendment
This major amendment as submitted contains all of the information required by Section 32.5 (Initial Site Plan)and Section 32.6(Final
Site Plan)of the Albemarle County Zoning Ordinance. I understand that plans which lack information required by said sections shall be
deemed incomplete and shall be denied by the agent within ten(10)days of submittal as provided in Section 32.4.2.1 or Section 32.4.3.1
as the
case may be.
110 Minor Amendment
This minor amendment as submitted contains all of the information required by Section 32.5 (Initial Site Plan)and Section 32.6(Final
Site Plan)of the Albemarle County Zoning Ordinance.
I hereby certify that the information provided on this application and accompanying information is accurate,true,and correct to the best
of my knowledge. By signing this application I am consenting to written comments,letters and or notifications regarding this application
being provided to me or my designated contact via fax and or email. This consent does not preclude such written communication from
also being sent via first class mail.
111 -JA-` -P+ ( 3 l z 9 / 11
Signature of Owner,Contract Purchaser,Agent Date
1✓�
d,04.1... +-t• Il '\ac 1 t 4 3 4.1 4 7 8 /I 0-0
Print Name J Daytime phone number of Signatory
FOR OFFICE USE ONLY SDP#
Fee Amount SS 38.(X-iate Paid 43)).-1 By who? 110103,K1 I Iter Receipt#IOW Ck#9?I I By: JP
REVISED 11/02/2015 Page 2 of 2